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Aortoesophageal fistula with aortitis: endoscopic management
VIDEOGIE Todd H. Baron, MD, G. S. Raju, MD, Editors for VideoGIE
Aortoesophageal fistula with aortitis: endoscopic management
Figure 1. Endoscopic view demonstrates aortoesophageal fistula in the mid-esophagus.
Aortoesophageal fistula is a known adverse event of stent graft repair of aortic aneurysm. This entity commonly presents with GI bleeding, which is frequently fatal. We describe a case of aortoesophageal fistula with accumulation of debris within the aneurysmal sac, resulting in anemia (hemoglobin 9.5 g/dL, baseline 10.5 g/dL), melena, aortitis, and severe sepsis. Endoscopic debridement was performed, followed by covered metal esophageal stent placement, with resolution of sepsis (Video 1, available online at www.giejournal.org). Our intervention may have reduced a systemic infectious/inflammatory response and provided tamponade of the aortic sac.
www.giejournal.org
DISCLOSURE All authors disclosed no financial relationships relevant to this publication. Vishal Ghevariya, MD, Division of Gastroenterology, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, Elmhurst, New York, USA, Teodor C. Pitea, MD, Division of Gastroenterology, Banner Health Clinic, Sun City West, Arizona, USA, Stavros N. Stavropoulos, MD, Division of Gastroenterology, Winthrop University Hospital, Mineola, New York, USA http://dx.doi.org/10.1016/j.gie.2014.01.037
Volume
-,
No.
-
: 2014 GASTROINTESTINAL ENDOSCOPY 1
Aortoesophageal fistula with aortitis: endoscopic management
Figure 1. Endoscopic view demonstrates aortoesophageal fistula in the mid-esophagus.
Aortoesophageal fistula is a known adverse event of stent graft repair of aortic aneurysm. This entity commonly presents with GI bleeding, which is frequently fatal. We describe a case of aortoesophageal fistula with accumulation of debris within the aneurysmal sac, resulting in anemia (hemoglobin 9.5 g/dL, baseline 10.5 g/dL), melena, aortitis, and severe sepsis. Endoscopic debridement was performed, followed by covered metal esophageal stent placement, with resolution of sepsis (Video 1, available online at www.giejournal.org). Our intervention may have reduced a systemic infectious/inflammatory response and provided tamponade of the aortic sac.
www.giejournal.org
DISCLOSURE All authors disclosed no financial relationships relevant to this publication. Vishal Ghevariya, MD, Division of Gastroenterology, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, Elmhurst, New York, USA, Teodor C. Pitea, MD, Division of Gastroenterology, Banner Health Clinic, Sun City West, Arizona, USA, Stavros N. Stavropoulos, MD, Division of Gastroenterology, Winthrop University Hospital, Mineola, New York, USA http://dx.doi.org/10.1016/j.gie.2014.01.037
Volume
-,
No.
-
: 2014 GASTROINTESTINAL ENDOSCOPY 1